| NPI | 1144784422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV 19-77280) |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2023-03-22 |